Individual
RUTH RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 544-1251
Mailing address
90 FIDDLERS LN, BUENA VISTA, GA 31803-5240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-106968
AL
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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